Fundamentals of Sleep Technology

Contents
Preface v
Acknowledgements and Dedication vi
Contributors vii
Associate Editors xii
SECTION I Overview of Sleep Medicine 1
chapter 1 Sleep Technology: Past, Present, and Future 2
Jon W. Atkinson
chapter 2 Sleep Technology: A Global Perspective 10
Tripat Deep Singh
chapter 3 Modern Sleep Medicine 23
Sharon A. Keenan and Robin E. Foster
SECTION 11 Anatomy and Physiology 29
chapter 4 The Biologic, Anatomic, and Physiologic Aspects of the
Biopotentials of Sleep 30
Regina Patrick
chapter 5 Regulating Sleep and Waking—Circadian and Homeostasis 45
David F. Wolfe
chapter 6 Sleep Deprivation 48
Lisa M. Bond
chapter 7 Respiratory Anatomy and Physiology 62
David F. Wolfe
chapter 8 Oxygen and Gas Exchange in the Body 80
Stephen Tarnoczy
chapter 9 Cardiac Anatomy and Physiology 85
Michael R. Furgason
chapter 10 General Human Physiology for the Sleep Technologist 93
Regina Patrick
chapter 11 Sleep across the Life Cycle 1 15
Debra A. Guerrero
SECTION 111 Sleep Disorders and Disorders that Affect Sleep 121
chapter 12 Obstructive Sleep Apnea 122
Elise A. Maher and Lawrence J. Epstein
chapter 13 Central Sleep Apnea 136
Laura A. Linley
chapter 14 Hypoventilation Syndromes 144
Joyce M. Black
chapter 15 Insomnia 154
Robert N. Turner
chapter 16 Central Disorders of Hypersomnolence 162
Rui M. de Sousa and Tamara Kaye Sellmanxiv CONTENTS
chapter 17 Circadian Rhythms and Circadian Rhythm Sleep–Wake
Disorders 189
Chad Whittlef and Katherine M. Sharkey
chapter 18 Parasomnias 205
Sonya Abercrombie and Joseph W. Anderson
chapter 19 Restless Legs Syndrome and Periodic Limb Movement Disorder 213
Joseph W. Anderson
chapter 20 Movement Disorders 226
Matthew Lee Uhles and Raman K. Malhotra
chapter 21 Sleep and Respiratory Disorders 247
Aleshia L. Dorst
chapter 22 Impact of Vascular Disorders on Sleep 252
Jennifer Parr-Christmas, Monica M. Henderson, James D. Geyer, and
Paul R. Carney
chapter 23 Sleep and Other Medical Disorders 257
Theresa A. Krupski
chapter 24 Seizures and Sleep 275
Amy Korn-Reavis and David A. Davis
chapter 25 Impact of Degenerative Disorders on Sleep 289
Monica M. Henderson, Jennifer Parr-Christmas, James D. Geyer, and
Paul R. Carney
chapter 26 Psychiatric Disorders That Affect Sleep 298
Rochelle Zozula and Rita Brooks
SECTION 1V Patient Care and Assessment 311
chapter 27 Patient Rights and the Provision of Sleep Medicine 312
Jayme R. Matchinski
chapter 28 Patient and Employee Safety 324
Mary Kay Hobby
chapter 29 Patient Interviewing and Assessment 339
Kimberly A. Trotter
chapter 30 Preoperative Assessment and Perioperative Monitoring 349
Danieliza Juniis-Johnson and Kristina Weaver
chapter 31 Developing a Program for Identifying, Assessing, and Managing
Hospitalized Patients for Sleep-Disordered Breathing 362
Renea Davis
chapter 32 Medications and Their Effect on Sleep and Sleep Disorders 367
Debbie Akers, Janet Pruett, J. Catesby Ware, and Robert D. Vorona
chapter 33 Sleep Apps and Personal Tracking Devices 379
Lauren Tribou
SECTION V Adult Polysomnography 385
chapter 34 Digital Polysomnography 386
Frank Walther
chapter 35 Recording the Biopotentials of Sleep 399
Regina Patrick
chapter 36 Preparing the Patient for Polysomnography 425CONTENTS xv
chapter 37 Polysomnographic Recording Procedures 441
Eileen B. Leary
chapter 38 Adult Sleep Scoring 457
Harry Whitmore and Rita Brooks
chapter 39 Scoring Respiratory Events 478
Laree J. Fordyce
chapter 40 Understanding Cardiac Arrhythmias 487
Jon W. Atkinson
chapter 41 Scoring Movement Rules 506
Laree J. Fordyce
chapter 42 Generating the Polysomnography Report 514
Jon W. Atkinson
chapter 43 Multiple Sleep Latency Test and Maintenance of Wakefulness Test 545
David Moore and S. Justin Thomas
chapter 44 Home Sleep Apnea Testing 552
Susan Purdy and Richard B. Berry
chapter 45 Actigraphy 571
Su Jeong Linstrom and Lisa J. Meltzer
SECTION V1 Interventions and Therapeutics 579
chapter 46 Positive Airway Pressure Therapy: Basic Principles 580
Matthew W. Anastasi
chapter 47 Personalizing the Selection of Interfaces 588
Cheryl Thomas-Yvanauskas
chapter 48 Titration of Continuous Positive Airway Pressure and Bilevel Positive
Airw a y Pressure 593
Cheryl Thomas-Yvanauskas, Harry Whitmore, and Richard S. Rosenberg
chapter 49 Advanced Positive Airway Pressure Therapies for Sleep-Disordered
Breathing 60 3
Zack Freeman and Saad S. Ahmad
chapter 50 Noninvasive Ventilation in Patients with Respiratory or
Neuromuscular Disease 608
John Seymour
chapter 51 Oxygen Administration in the Sleep Center 624
Thomas Russell
chapter 52 Dental Sleep Medicine: Oral Appliance Therapy and Titration
Management 633
Shawn Kimbro
chapter 53 Technical–Surgical Interventions for Sleep Apnea 639
Edwin M. Valladares
chapter 54 Other Therapies for Obstructive Sleep Apnea 647
Zack Freeman and Saad S. Ahmad
SECTION VII Patient Management 659
chapter 55 Sleep Health Educator and Patient Self-Management:
The Connection 660
Robyn V. Woidtke
chapter 56 Developing and Maintaining Therapeutic Compliance 668xvi CONTENTS
chapter 57 At Home Positive Airway Pressure Follow-Up: Therapy Assessment Tools,
Interventions, and Equipment Maintenance 683
Laura S. Lehnert
chapter 58 Treatment for Insomnia 691
Robert N. Turner
chapter 59 Telemedicine in Sleep Medicine 700
Fayçal Abdenbi
SECTION V1II Pediatrics 705
chapter 60 Pediatric Polysomnography 706
Julie DeWitte and Emmanuel (Joel) Porquez
chapter 61 Pediatric Scoring 716
Tim A. Statza
chapter 62 Sleep-Related Breathing Disorders in Children 732
Brian J. Schultz and Lee J. Brooks
chapter 63 Nonrespiratory Pediatric Sleep Disorders 739
Kristine Bresnehan Servidio
chapter 64 Parasomnias in Children 751
Matthew J. Balog, Stephen H. Sheldon, and Darius Loghmanee
chapter 65 Interventions in the Pediatric Sleep Laboratory 763
Carla A. Evans, Carol Wood, Carla Uy, and Karen Waters
chapter 66 Infant Polysomnography 777
Patrick Sorenson
SECTION IX Sleep Center Management 791
Sleep Center Management chapters are available online as a supplement.
chapter 67 Sleep Center Facilities and Equipment 792
Todd Eiken
chapter 68 The Manager’s Role in a Sleep Center 81 1
Henry Johns, Connstance Shivers Smith, and Robert Hendrickson
chapter 69 Sleep Center Policies and Procedures 821
Robin E. Foster
chapter 70 Ethics and Professionalism 826
Robyn V. Woidtke
chapter 71 Coding, Billing, and Regulatory Compliance 833
Kathryn Hansen
chapter 72 Quality Assurance and Quality Improvement 843
Richard S. Rosenberg
chapter 73 Research in the Sleep Center 847
Allen Boone
chapter 74 The Sleep Technologist in the Medical Office 859
Julie DeWitte
chapter 75 The Sleep Technologist in the Durable Medical Equipment World 866
Susan Harpham, Sonia Garcia, Nicole Brecht, and Michael R. Watson
chapter 76 The Sleep Technologist Working in Industry 872
Joseph W. AndersonCONTENTS xvii
SECTION X Appendix 877
Appendices and Glossary are available online as a supplement.
Appendix A. Artifact Recognition 877
Appendix B. Trouble-shooting EEG 879
Appendix C. Cardiac Arrhythmias 883
Appendix D. Continuous Positive Airway Pressure (CPAP)
Titration for OSA Patient. 885
Appendix E. Bilevel Positive Airway Pressure Titration
for OSA Patient 888
Appendix F. Administration of O
2
during PAP Titration
for OSA Patient 890
Appendix G. Evaluating Movement Disorders 892
Appendix H. Excessive Daytime Sleepiness (EDS) 894
Appendix I. Primary Excessive Daytime Sleepiness (EDS) 898
Appendix J . Neurologic, Psychiatric and General Medical
Disorders 899
Appendix K. Evaluation and Treatment of Insomnia 901
Appendix L. Patient Education Program Development and
Goal Setting 903
Appendix M. Essential Elements of the Patient Education Plan 905
Appendix N. ResMed AirView
TM
Diagnostic Report 907
Appendix O. Respironics Compliance Report 909
Appendix P. Perioperative Screening Pilot Program 929
Appendix Q. Research Terminology, Acronyms, and Agencies 931
Glossary 937
Index I-1